MEDICARE: MARLA ALDRIDGE BANKS PHARMD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	PS34248	FL
2	183500000X	Pharmacist	020252	GA

General Provider Information

NPI Number	:	1083997258
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARLA ALDRIDGE BANKS PHARMD

Provider Business Mailing Address
First Line	:	101 RIVERSTONE VIS STE 102
Second Line	:
City	:	BLUE RIDGE
State	:	GA
Zip	:	30513-6630
Country	:	US
Telephone Number	:	706-258-4140
Fax Number	:

Provider Business Practice Location Address
First Line	:	120 MARIETTA HWY
Second Line	:
City	:	CANTON
State	:	GA
Zip	:	30114-2303
Country	:	US
Telephone Number	:	678-880-0575
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/23/2011
Last Update Date	:	11/08/2023

Similar Medicare Providers

1174831218 — CANTON PHYSICAL MEDICARE, LLC
Practice Location Address:

2050 CUMMING HWY , SUITE 100
CANTON, GA
30114-8614

Practice Phone: 770-345-9600
Practice Fax:

1861492761 — CANTON NORTHSIDE PHARMACY INC
Practice Location Address:

170 MARIETTA HWY
CANTON, GA
30114-2303

Practice Phone: 770-479-2171
Practice Fax: 770-720-6006

1023023231 — WALGREEN CO
Practice Location Address:

120 MARIETTA HWY
CANTON, GA
30114-2303

Practice Phone: 678-880-0575
Practice Fax:

1306127717 — UDAY RAJGURU RPH
Practice Location Address:

120 MARIETTA HWY
CANTON, GA
30114-2303

Practice Phone: 678-880-0575
Practice Fax:

1518248525 — MR. ANTHONY J GUALTIERI RPH
Practice Location Address:

120 MARIETTA HWY
CANTON, GA
30114-2303

Practice Phone: 678-880-0575
Practice Fax: 678-880-0578

1699058230 — JUSTIN MARLOW
Practice Location Address:

120 MARIETTA HWY
CANTON, GA
30114-2303

Practice Phone: 678-880-0575
Practice Fax:

Directions to “ MARLA ALDRIDGE BANKS PHARMD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.